Individual
MRS. CHERYL LYNN NORTHUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 4TH AVE, GALLIPOLIS, OH 45631-1111
(740) 446-3213
Mailing address
3602 NEIGHBORHOOD RD, GALLIPOLIS, OH 45631-8708
(740) 446-3375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6488
OH
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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